Unhappiness all over the 4 Health Services. Party conference collusion in denial.. Resignation letters from GPs?

There is ongoing and increasing unhappiness in the Health Services sector. Peter Carter in The Times believes “The BMA has shot itself in the foot over the doctors dispute” as “a loaded gun is more effective than a fired gun.”.

Despite the government (“Tories call for £400m investment in GP services” – Andrew Liddle 31st August 2016) promise of more funding, the report from Iona Twaddell in Pulse 28th September “GPs to be asked to submit undated mass resignation letters”, and in Belfast today: GPs in Northern Ireland urged to hand in resignation letters over ‘escalating crisis’ in primary care

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Neil Roberts reported on a further privatisation of services in June 2015: Capita awarded £400m GP support services privatisation deal and then they made a predicable mess of it: Tony Collins in Campaign for change reported 7 days ago: Capita and NHS England apologise after continuing problems on £330m contract

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Delayed and incorrect payments for a profession with low morale and a rapidly increasing overhead is not a recipe for goodwill. The minimum wage may be a good thing, but in businesses such as health where the main overhead is staff salaries and wages there will need to be a large increment to allow for increasing wages.

With all political parties in denial regarding Health, as evidenced by the statements from the main party conferences, (conservatives yet to come) the Liberals are unlikely to gain ground, despite their calls for lower class numbers, help for students, and call for another referendum. Many doctors are natural Liberal voters, but without an agenda for excellence in education and health they are unlikely to vote Liberal.

Will this Brexit offer get the Lib Dems back in game?

Chris Smyth reports 28th September 2016 in The Times that that “Nursing whistleblowers ‘will be told to keep quiet’ so they too are unhappy.

The patients are also unhappy. A new report “Making Difficult Decisions” has been launched by NHS Clinical Commissioners in collaboration with the University of Birmingham, and is heralded in The Times by the headline “How to close hospitals” (not on line), and is about how to broach hospital closures with the public. It says “active engagement, consultation and nurturing trustworthy relationships” are vital….. In retrospect, in Pembrokeshire which rejected a new build 7 years ago, a majority of the profession would support it now, seeing what the alternative has been. Would anything have been different if this report had been 10 years earlier?

Download Making Difficult Decisions PDF

JennyAm in the Stoke Sentinel asks 26th September 2016: Personally speaking (Tristram Hunt): ‘Who is accountable for health rationing?’, which shows a naïve denial and expectation of “Everything for everyone for ever”!

On 11th February 2015 the Health Department published “Culture change in the NHS”. Both we and they have a long way to go..

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This entry was posted in A Personal View, Rationing, Stories in the Media on by .

About Roger Burns - retired GP

I am a retired GP and medical educator. I have supported patient participation throughout my career, and my practice, St Thomas; Surgery, has had a longstanding and active Patient Participation Group (PPG). I support the idea of Community Health Councils, although I feel they should be funded at arms length from government. I have taught GP trainees for 30 years, and been a Programme Director for GP training in Pembrokeshire 20 years. I served on the Pembrokeshire LHG and LHB for a total of 10 years. I completed an MBA in 1996, and I along with most others, never had an exit interview from any job in the NHS! I completed an MBA in 1996, and was a runner up for the Adam Smith prize for economy and efficiency in government in that year. This was owing to a suggestion (St Thomas' Mutual) that practices had incentives for saving by being allowed to buy rationed out services in the following year.

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